Kann P E, Lane D S
Department of Preventive Medicine, School of Medicine HSC L3, State University of New York at Stony Brook 11794-8036, USA.
Acad Med. 1998 Aug;73(8):904-6. doi: 10.1097/00001888-199808000-00017.
To assess needs for breast cancer screening education by comparing medical students' training and knowledge of breast cancer screening upon their entry to and exit from medical school.
Seventy-seven medical students at one medical school completed questionnaires as first-year students (in 1992) and again as fourth-year students (in 1996) that assessed their breast cancer screening knowledge. The fourth-year questionnaire included additional questions about the students' clinical training in breast cancer screening skills and their perceptions of needs for further training.
Although the students performed significantly better on the knowledge-based questions in their fourth year than they did in their first year, considerable room for improvement remained. The students reported learning the most from surgery rotations and more from standardized patients than from faculty. Women medical students performed significantly more clinical breast examinations than did men students.
Most of the medical students reported needing additional training in clinical breast examination. More curricular time devoted to education about breast cancer screening is needed.
通过比较医学生入学时和毕业时乳腺癌筛查的培训情况及知识水平，评估乳腺癌筛查教育的需求。
一所医学院的77名医学生在1992年作为一年级学生时以及1996年作为四年级学生时完成了调查问卷，这些问卷评估了他们的乳腺癌筛查知识。四年级的问卷还包括关于学生乳腺癌筛查技能临床培训的其他问题以及他们对进一步培训需求的看法。
尽管学生在四年级基于知识的问题上的表现比一年级时显著更好，但仍有相当大的改进空间。学生报告称从外科轮转中学到的最多，从标准化病人那里学到的比从教员那里学到的更多。女医学生进行临床乳腺检查的次数明显多于男学生。
大多数医学生报告称需要在临床乳腺检查方面接受额外培训。需要在课程中安排更多时间用于乳腺癌筛查教育。
